Individual
CATHY MARY KHOSHABEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 COLOMA WAY STE C, ROSEVILLE, CA 95661-4480
(916) 774-6647
Mailing address
1625 SEVILLA DR, ROSEVILLE, CA 95747-5068
(541) 778-6887
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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